A calm therapy office representing what to expect at a first counseling appointment.
Starting therapy for the first time can feel intimidating, but it doesn't have to be. Learn what happens before, during, and after your first appointment—including what to expect for children, teens, and telehealth sessions—so you can begin therapy feeling informed and confident.

What to Expect at Your First Therapy Appointment

Starting therapy can feel like a big step. For many people, the hardest part isn’t deciding to ask for help—it’s simply not knowing what to expect once they get there.

At The Artemis Center for Guidance, we believe therapy shouldn’t feel mysterious. Our goal is to create a safe, collaborative, and respectful experience from the very first session.

While every therapist has their own style, here’s what you can generally expect when you begin therapy with us.

We’ll Begin by Talking About Confidentiality

One of the first things we’ll review is confidentiality—what it means, why it matters, and the few situations where we’re legally or ethically required to share information in order to protect someone’s safety.

We’ll also review informed consent, answer any questions you have about the therapy process, and explain what you can expect moving forward.

Understanding these foundations helps create the trust that therapy depends on.

We’ll Spend Time Getting to Know You

Your first appointment isn’t about having all the answers.

It’s about helping us understand you.

We’ll ask about things like:

    • What brought you to therapy

    • Your current concerns and symptoms

    • Your medical and mental health history

    • Previous counseling experiences

    • Important relationships and family history

    • Your strengths and sources of support

    • What you hope will be different through therapy

Many people worry they’ll have to tell their entire life story during the first appointment.

You don’t.

Some histories are straightforward. Others are more complex.

For some clients, gathering a complete history may take two—or occasionally three—sessions.

That’s completely normal.

We’ll Begin Setting Goals Together

Therapy is most effective when it’s collaborative.

Rather than telling you what you “should” do, your therapist will work with you to identify meaningful goals based on what’s most important to you.

Your goals might include:

    • Feeling less anxious

    • Improving relationships

    • Feeling less overwhelmed

    • Becoming more confident

    • Building healthier coping skills

As therapy progresses, those goals may evolve—and that’s a normal part of the process.

We Don’t Believe You Should Have to Wait to Feel Better

While we’re taking time to understand your story, we also want you to begin experiencing relief as soon as possible.

Whenever it’s appropriate, your therapist will begin introducing practical coping skills early in treatment. Although developing a thorough understanding of your history sometimes takes more than one session, we don’t believe you should have to wait weeks before learning strategies that may help you start feeling better.

What If My Child Is Starting Therapy?

Children have different needs than adults, and our intake process reflects that.

For children approximately 10 years old and younger, we typically begin with a telehealth appointment that includes both the child and their parent or caregiver.

At the beginning of the appointment, we’ll spend time talking with the parent or caregiver about their concerns, the child’s history, and what they’re hoping therapy will help with. This gives caregivers an opportunity to speak openly about sensitive topics without worrying that their child is overhearing information that may be confusing, upsetting, or difficult to understand.

After that conversation, we’ll spend time getting to know your child and begin building a relationship with them. Depending on your child’s age, developmental level, and comfort, parents may remain involved for part of the session or we may spend some time with the child individually.

Every child is different, and we’ll tailor the process to meet your family’s needs while helping your child feel safe, comfortable, and supported from the very beginning.

There’s No “Right” Way to Start Therapy

Some people arrive with pages of notes.

Others aren’t sure where to begin.

Some know exactly what’s wrong.

Others simply know that something doesn’t feel right.

All of those experiences are normal.

You don’t need to prepare a speech.

You don’t need to have everything figured out.

You simply need to show up.

We’ll help guide the conversation.

Before Your First Appointment

You don’t need to prepare a speech or have everything figured out before you arrive.

To help your appointment go smoothly, we recommend bringing:

    • Your insurance card (if you’re using insurance benefits)

    • A photo ID, if requested

    • A list of medications you’re currently taking

    • Any questions you’d like to ask your therapist

Most importantly…

Bring yourself exactly as you are.

You don’t need to organize your thoughts, remember every detail of your history, or worry about saying the “right” thing.

That’s our job.

Why Families Across New Jersey Choose Artemis

The Artemis Center for Guidance provides compassionate, evidence-based therapy for children, adolescents, adults, couples, and families throughout New Jersey.

With locations in Turnersville, Glassboro, and Sewell, as well as secure telehealth services, we make high-quality mental health care accessible to individuals and families across the state.

Our clinicians specialize in anxiety, OCD, trauma, depression, ADHD, perinatal mental health, relationship concerns, and many other areas of emotional wellness. We believe therapy should be collaborative, practical, and tailored to each person’s unique goals.

Whether you’re seeking support for yourself, your child, or your relationship, our team is here to help.


Ready to Take the Next Step?

If you think it’s time to begin therapy—or you’re simply exploring your options—we’re here to answer your questions and help you find the clinician who best fits your needs. Taking the first step can feel overwhelming, but you don’t have to do it alone.

Reviewed by Kate DeStefano-Torres, MA, LPC, NCC, ACS

Founder & Director, The Artemis Center for Guidance, LLC

This article has been reviewed for clinical accuracy and reflects current evidence-informed mental health practices. Because every individual’s circumstances are unique, this information is intended for educational purposes and should not replace personalized mental health care.

A Quick Note

This article is provided for educational purposes only and is not a substitute for individualized mental health assessment, diagnosis, or treatment. Every person’s circumstances are unique. If you have questions about your own mental health or would like personalized support, we encourage you to consult a qualified mental health professional.

If you are experiencing a mental health emergency, call 911 or go to your nearest emergency department.

You May Also Like

School Phone Bans and Anxiety: Helping Your Child Adjust

School Phone Bans and Anxiety: Helping Your Child Adjust

New Jersey's school phone restrictions may be especially challenging for children and teens with anxiety. Learn how parents can support the transition without dismissing anxiety

When Your Therapist Leaves: Coping With the Loss and Moving Forward

When a therapist leaves, retires, moves, or is no longer able to continue working with you, the loss can be surprisingly difficult. Learn why therapy

Can Anxiety Go Away? What Getting Better Can Actually Look Like.

If you struggle with anxiety, you may wonder whether it can ever truly go away. Anxiety can improve significantly, but recovery does not always mean